SUSAN KAY PRICE KEEFAUVER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

SUSAN KAY

Last Name

PRICE KEEFAUVER

Suffix

Business Name

SUSAN KAY PRICE KEEFAUVER MD

Original Issue Date

07/11/1985

Effective Date

07/11/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006